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A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO?s covered members only.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Managed Care Organization Pharmacy |
3336M0003X | 58 | Medical Supply Company with Pharmacist | |
Institutional Pharmacy |
3336I0012X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1023415593 |
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| LBN Legal business name | KAISER FOUNDATION HOSPITALS | ||||
| Authorized official | SHERYL SHIMOKAWA - (DIRECTOR OF PHARMACY) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/01/2014 | ||||
| Last updated | 07/15/2021 - About 5 years ago | ||||
| Identifiers |
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KAISER FOUNDATION HOSPITALS
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KAISER FOUNDATION HOSPITALS